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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Transportation
Switching Gears
A New Way to Fund Transportation
May 08, 2019
The new congestion pricing fee serves the dual goals of raising revenue and reducing traffic congestion; however, the measure is not a complete solution to the State’s need for transportation funding.
Report
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
Report
Transportation
Swimming in Subsidies
The High Cost of NYC Ferry
March 28, 2019
NYC Ferry serves more than 4 million passengers at a high level of operating subsidy: $10.73 per ride, 10 times that of the New York City Transit.
Report
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
Report
Transportation
Access-A-Ride
Ways to Do the Right Thing More Efficiently
September 20, 2016
This report identifies strategies and options the Metropolitan Transportation Authority (MTA) can pursue to improve the financial outlook and quality of Access-A-Ride, the paratransit program.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Report
Transportation
Financing Transportation Services in the New York Region
March 28, 2004
This report examines the financing policies for passenger transportation services in the New York-New Jersey metropolitan area. Included are 25 entities consisting of the states of New York and New Jersey, the Port Authority, the MTA, New Jersey Transit, four additional authorities operating or financing toll roads, the City of New York, and 15 counties.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.